EP0168161B1 - A folder for surgical sutures - Google Patents

A folder for surgical sutures Download PDF

Info

Publication number
EP0168161B1
EP0168161B1 EP85304009A EP85304009A EP0168161B1 EP 0168161 B1 EP0168161 B1 EP 0168161B1 EP 85304009 A EP85304009 A EP 85304009A EP 85304009 A EP85304009 A EP 85304009A EP 0168161 B1 EP0168161 B1 EP 0168161B1
Authority
EP
European Patent Office
Prior art keywords
needle
panel
suture
recess
folder
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired
Application number
EP85304009A
Other languages
German (de)
English (en)
French (fr)
Other versions
EP0168161A1 (en
Inventor
Douglas Melvin Ferguson
William Michael Owens
Michael Lang
Jay Perry Lincoln
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
WL Gore and Associates Inc
Original Assignee
WL Gore and Associates Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by WL Gore and Associates Inc filed Critical WL Gore and Associates Inc
Priority to AT85304009T priority Critical patent/ATE38142T1/de
Publication of EP0168161A1 publication Critical patent/EP0168161A1/en
Application granted granted Critical
Publication of EP0168161B1 publication Critical patent/EP0168161B1/en
Expired legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06114—Packages or dispensers for needles or sutures
    • A61B17/06133—Packages or dispensers for needles or sutures of parallelepipedal shape, e.g. made of rectangular or slightly oval panels
    • A61B17/06138—Packages or dispensers for needles or sutures of parallelepipedal shape, e.g. made of rectangular or slightly oval panels including a retainer comprising three or more foldable panels
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06114—Packages or dispensers for needles or sutures
    • A61B2017/06142—Packages or dispensers for needles or sutures having needle- or suture- retaining members, e.g. holding tabs or needle parks
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
    • A61B17/06114—Packages or dispensers for needles or sutures
    • A61B2017/06157—Packages or dispensers for needles or sutures containing a suture wound in a sinusoidal or zigzag configuration

Definitions

  • This invention relates to a folder forming a package for one or more surgical sutures.
  • Packages for surgical sutures having needles attached at one or both ends are constructed according to the nature of the suture material and to how the sutures will be used. Generally, the package holds the suture and attached needles in place, protects them during handling and storage, and allows ready access to the suture for removal with minimum handling at the time the suture is to be used.
  • the suture should also be removable without becoming entangled with itself, kinked or coiled in undesired ways.
  • the nature of the suture material itself may impose limitations on the configuration of the package, how the suture is placed within the package, the placement of the needles, or how the suture is drawn from the package.
  • a frequently used form of package consists of a folded stiff treated paper suture holder contained in a sterile, hermetically sealed envelope, which envelope is further sealed in a second, usually clear, thermoplastic heat-sealed envelope outer wrap to maintain the suture holder and inner envelope sterile.
  • the outer clear wrap is opened in the operating room and the sealed sterile inner envelope deposited in a sterile area. Sterile personnel then open the inner envelope when access to the suture is needed.
  • any loading pattern in which the PTFE suture intersects itself can lead to knotting.
  • Friction pads such as those made from polymer foam and used to hold the sutures in place, also tend to induce tangling and knotting.
  • Cotton and silk sutures have also been found to sometimes tangle or knot under the same circumstances as PTFE sutures and hence the suture folder of this invention can be usefully employed for sutures manufactured from cotton, silk or any pliable suitable material.
  • suture packages attempt to fix any attached needles in a particular location for easy presentation to the user, it has been found that often the needles become dislodged and are not conveniently presented to the user. If the needles do remain fixed in place, they are often accessible from one direction only.
  • a suture folder comprising a needle-supporting panel, a suture having a needle attached thereto disposed on the panel, support means in which the needle is supported, the support means being integral with the panel, the suture being retained against the needle-supporting panel by first and second side panels hinged to opposite tides of the needle-supporting panel and wherein the needle-supporting panel has a recess extending inwardly from one edge thereof, characterised in that the needle extends across the recess, and the support means are disposed on each side of the recess and support the portions of the needle extending on opposite sides of the recess, the recess being exposed so that the needle can be gripped between the jaws of a needle holding means approaching the needle from either side of the panel.
  • Figure 1 shows a 3-panel folder according to the invention in unfolded position.
  • the first panel 1 is attached along longitudinal fold line 16 to a second panel 3, which, in turn, is attached along a longitudinal fold line 20 to a third panel 4.
  • the first panel 1 has chamfered upper corners 10, a U-shaped recess 9 centrally located in a transverse edge of the panel 4, an incised slit 8, and a cut-out corner 14 to provide clearance with the other panels when the folder is folded together.
  • the lower part 2 of panel 1 has a fold line 19 along which lower part 2 is folded back on the remainder of panel 1 to form a suture-retention bottom to the folder.
  • the second panel 3 has chamfered upper corners 10, a tab 11 cut along three sides from the material of the panel, an incised aperture 13, a U-shaped recess 12 spaced to be in register with recess 9 of panel 1 when the panels are folded together, an incised interlocking tab 5 for interlocking with a similar tab 5 on the third panel 4, a punched out aperture 15 for registration means for loading of a suture in the folder, and fold line 20 where the third panel 4 joins panel 3.
  • the third panel 4 is chamfered at corner 10, is cut away along sides 7 and 6 so as to avoid covering the needle access recesses 9 and 12 when the folder is folded together around a suture and needle, and to provide an edge 6 for insertion in an incised slit 8 in panel 1 on full closure.
  • Panel 4 also has an incised interlocking tab 5 which interlocks with tab 5 on panel 3 upon closure.
  • a suture 18 is shown laid out in sinusoidal configuration on panel 3 past register aperture 15 and attached to needle 17, which is held in place behind tab 11 in front of the left-hand edge of recess 12 and behind the right-hand edge of recess 12 into aperture 13.
  • Figure 3 shows a suture in place on panel 3 with needles 17 affixed at each end and coiled in a sinusoidal configuration.
  • Figure 4 shows an alternative embodiment of the invention suitable for sutures 18 bearing very small needles 17 on one or both ends.
  • Tab 11 remains the same, but a curved incised slit 13A is used in place of aperture 13 and the shank ends 17A of the small needles 17 fall outside of tab 11 which now holds the suture 18 just behind shank ends 17A.
  • Figure 5 shows the appearance of the front side of the folded suture folder and Figure 6 shows the back side of the folded suture folder. It can be seen that needles 17 are easily visible and accessible from either side of the folder and can be easily grasped in the recess provided and easily withdrawn along with the attached suture 18. The folder need not be opened for suture removal, as shown in Figure 7.
  • envelope 23 is formed from materials known in the art and usually bears any printed indicia as to source, identity, and instructions for use.
  • the chamfered corners 10 of the holder aid in the insertion process.
  • the inner envelope 23 is then sealed in a clear heat-sealable outer envelope 24 to protect the entire contents and may then be cartoned and sterilized, for instance with ethylene oxide gas.
  • Figure 9 shows an inner envelope 23 partially peeled back for ready presentation of needle 17 from recess 12 to the user.
  • the suture folder may be manufactured from medical grades of paper board of an appropriate body or stiffness, such as tag board, solid bleached paper which may be optionally clay coated, or some forms of thin plastic sheeting, such as those made from polyethylene.
  • the inner and outer protective envelopes are usually of heat sealable thermoplastic polymers, such as for instance polyethylene, polyvinyl acetate-ethylene copolymer, or Tyvek (DuPont de Nemours trademark), diolefin polymer, which may also be in the form of composites with paper, aluminum oil, or other appropriate materials. It is preferred that the inner envelope be a composite bearing any quired printed indicia and that the outer envelope be of a clear heat-sealable thermoplastic material.
  • the suture package of this invention enables several advantages over the prior art packages for PTFE sutures to be achieved.
  • the advantage of non-overlapping of PTFE suture strands is combined with holding of the needles in a fixed position in a unique orientation which presents the needles in such a way that they may be gripped from either side of the package by a needle holder.
  • Right-handed or left-handed removal of the needle and suture is equally facile.
  • the needles are immediately visible in a slot in the top of the suture folder on only partial peeling back of the inner protective envelope and can be immediately gripped in the slot from either side of the folder and the suture easily withdrawn from the folder without further opening of either the protective envelope or the paper folder.

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Dentistry (AREA)
  • Surgical Instruments (AREA)
  • Materials For Medical Uses (AREA)
  • Packaging Of Annular Or Rod-Shaped Articles, Wearing Apparel, Cassettes, Or The Like (AREA)
EP85304009A 1984-06-14 1985-06-05 A folder for surgical sutures Expired EP0168161B1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
AT85304009T ATE38142T1 (de) 1984-06-14 1985-06-05 Faltblatttraeger fuer chirurgisches nahtmaterial.

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US06/620,605 US4496045A (en) 1984-06-14 1984-06-14 Multi-panel folder for surgical sutures
US620605 1984-06-14

Publications (2)

Publication Number Publication Date
EP0168161A1 EP0168161A1 (en) 1986-01-15
EP0168161B1 true EP0168161B1 (en) 1988-10-26

Family

ID=24486591

Family Applications (1)

Application Number Title Priority Date Filing Date
EP85304009A Expired EP0168161B1 (en) 1984-06-14 1985-06-05 A folder for surgical sutures

Country Status (19)

Country Link
US (1) US4496045A (ja)
EP (1) EP0168161B1 (ja)
JP (1) JPS6182740A (ja)
KR (1) KR880001187B1 (ja)
AT (1) ATE38142T1 (ja)
CA (1) CA1249982A (ja)
DE (1) DE3565768D1 (ja)
DK (1) DK271285A (ja)
EG (1) EG17575A (ja)
ES (1) ES8609129A1 (ja)
FI (1) FI852371L (ja)
GB (1) GB2160490B (ja)
GR (1) GR851442B (ja)
IL (1) IL75499A (ja)
NO (1) NO852396L (ja)
NZ (1) NZ212418A (ja)
PL (1) PL149697B1 (ja)
SU (1) SU1367836A3 (ja)
ZA (1) ZA854180B (ja)

Families Citing this family (60)

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US4615435A (en) * 1985-12-19 1986-10-07 Ethicon, Inc. Retainer for surgical sutures
US4700833A (en) * 1986-02-07 1987-10-20 Sharpoint L.P. Suture winding card
US5222978A (en) 1987-08-26 1993-06-29 United States Surgical Corporation Packaged synthetic absorbable surgical elements
US5366081A (en) 1987-08-26 1994-11-22 United States Surgical Corporation Packaged synthetic absorbable surgical elements
FR2621475A1 (fr) * 1987-10-09 1989-04-14 Schwarz Georg Emballage pour ligatures et sutures chirurgicales sous la forme d'un etui
US5099994A (en) * 1988-08-24 1992-03-31 Ethicon, Inc. Oval wrap suture package
US5359831A (en) 1989-08-01 1994-11-01 United States Surgical Corporation Molded suture retainer
US5246104A (en) * 1989-08-01 1993-09-21 United States Surgical Corporation Molded suture retainer
US5154283A (en) * 1990-08-13 1992-10-13 United States Surgical Corporation Molded suture retainer
US5425445A (en) * 1989-08-01 1995-06-20 United States Surgical Corporation Retainer for a combined surgical suture-needle device
JP2881939B2 (ja) * 1990-04-06 1999-04-12 住友電気工業株式会社 手術用縫合糸及びその製造方法
US5086914A (en) * 1990-05-14 1992-02-11 W. L. Gore & Associates, Inc. Suture package
US5121836A (en) * 1990-05-25 1992-06-16 United States Surgical Corporation Retainer for combined surgical suture-needle device
US5261210A (en) * 1990-08-13 1993-11-16 United States Surgical Corporation Molded suture retainer
US5277299A (en) * 1990-12-17 1994-01-11 United States Surgical Corporation Package for multiple sutures
US5236082A (en) * 1990-12-31 1993-08-17 United States Surgical Corporation Needle shield device for surgical packages
US5358102A (en) * 1990-12-31 1994-10-25 United States Surgical Corporation Needle shield device for surgical packages
US5127518A (en) * 1991-05-09 1992-07-07 United States Surgical Corporation Package for surgical sutures
US5123528A (en) * 1991-01-07 1992-06-23 United States Surgical Corporation Package for needle sutures or the like
EP0521170B1 (de) * 1991-06-11 1994-04-06 B. Braun Holding AG Nahtmaterialpackung
US5174446A (en) * 1991-08-26 1992-12-29 The Stanley Works Combination square package and sleeve therefor
CA2076069C (en) * 1991-10-07 1999-11-09 David L. Brown Retainer for a suture reel dispenser
CA2080978A1 (en) * 1992-01-02 1993-07-03 Hans-Jurgen F. Sinn Retainer for a combined surgical needle shield with a needle tip stop feature
US5249682A (en) * 1992-02-10 1993-10-05 Ethicon, Inc. Package for mesh onlay and attached mesh plug
US5219077A (en) * 1992-02-10 1993-06-15 Ethicon, Inc. Package for mesh onlay and attached mesh plug technical field
US5226535A (en) * 1992-02-14 1993-07-13 Ethicon, Inc. Package for endoscopic suture loop and cannula
US5199561A (en) * 1992-02-18 1993-04-06 Ethicon, Inc. Package for endoscopic needle and suture and cannula assembly
US5335783A (en) * 1992-04-16 1994-08-09 United States Surgical Corporation Retainer for a combined surgical needle-suture device
CA2091317C (en) * 1992-06-19 1998-10-06 Hans-Jurgen F. Sinn Needle shield device for surgical packages
DE4240831C1 (de) * 1992-12-04 1993-10-07 Braun Melsungen Ag Nahtmaterialpackung
US5284240A (en) * 1993-01-22 1994-02-08 Ethicon, Inc. No touch suture package
US5348146A (en) * 1993-02-11 1994-09-20 American Cyanamid Co. Suture package
US5351822A (en) * 1993-02-17 1994-10-04 United States Surgical Corporation Retainer for an elongated surgical instrument
US5435438A (en) * 1993-08-02 1995-07-25 United States Surgical Corporation Retainer package for multiple suture
CA2129277A1 (en) * 1993-09-13 1995-03-14 Christopher Scanlon Retainer package for resilient filaments
CA2133377C (en) * 1993-10-08 2004-09-14 H. Jonathan Tovey Surgical suturing apparatus with loading mechanism
US5478344A (en) * 1993-10-08 1995-12-26 United States Surgical Corporation Surgical suturing apparatus with loading mechanism
US5503266A (en) * 1993-10-15 1996-04-02 United States Surgical Corporation Molded suture retainer with needle park
DE4415346A1 (de) * 1994-05-02 1995-06-22 Hp Medica Gmbh Fuer Medizintec Nahtmaterialpackung
DE4415347A1 (de) * 1994-05-02 1995-06-22 Hp Medica Gmbh Fuer Medizinisc Nahtmaterialpackung
US5478345A (en) * 1994-08-19 1995-12-26 United States Surgical Corporation Mechanism for endoscopic suturing device
US5566821A (en) * 1995-01-10 1996-10-22 United States Surgical Corporation Suture retainer
BR9500286A (pt) * 1995-01-24 1997-01-14 Johnson & Johnson Embalagem para sutura cirúrgica provida de agulha
US5669490A (en) * 1995-06-07 1997-09-23 United States Surgical Corporation Suture retainer
US5733293A (en) * 1996-05-08 1998-03-31 United States Surgical Corporation Disposable loading unit for a vascular suturing instrument
EP2380501A1 (en) 2002-07-17 2011-10-26 Tyco Healthcare Group LP Suture pledget package
DE102004006398B4 (de) * 2004-02-10 2006-06-08 Atmel Germany Gmbh Verfahren und Vorrichtung zum Synchronisieren einer Funktionseinheit auf eine vorgegebene Taktfrequenz
ES2524255T3 (es) * 2007-05-29 2014-12-04 Ethicon Llc Envasado de sutura
CA2801271C (en) 2010-06-11 2018-10-30 Ethicon, Llc Suture delivery tools for endoscopic and robot-assisted surgery and methods
NZ704802A (en) 2010-11-09 2015-12-24 Ethicon Llc Emergency self-retaining sutures and packaging
US9492632B2 (en) * 2011-04-13 2016-11-15 Medtronic Vascular, Inc. Packaging for a catheter
BR102015007027B1 (pt) 2014-03-28 2022-02-08 Medos International Sàrl Dispositivo de gerenciamento de implante e filamento
US9439752B2 (en) 2014-03-28 2016-09-13 Medos International Sàrl Implant and filament management device
US10244826B2 (en) * 2017-03-05 2019-04-02 Wendy P. Lehman Apparatus for securing a martial arts belt
WO2019173488A1 (en) * 2018-03-06 2019-09-12 Sharp Fluidics, Llc Chiral needle packages and receptacles
US11622762B2 (en) * 2019-07-02 2023-04-11 Conmed Corporation Implant and suture organization device
WO2021101596A1 (en) 2019-11-20 2021-05-27 Embody, Inc. Enclosure device for an implantable repair device
USD946767S1 (en) 2020-07-24 2022-03-22 Embody, Inc. Enclosure device for delivering an implantable sheet-like repair device
USD946768S1 (en) 2020-07-24 2022-03-22 Embody, Inc. Enclosure device for delivering an implantable sheet-like repair device
US20220338873A1 (en) * 2021-04-23 2022-10-27 Jessica Adams Method and apparatus for holding surgical sutures

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GB507727A (en) * 1938-10-10 1939-06-20 William Warren Triggs Improved case for matches and other oblong objects
US3280971A (en) * 1963-07-16 1966-10-25 Ethicon Inc Coiled suture package
US3487917A (en) * 1967-12-21 1970-01-06 Deknatel Inc Needle suture package
US3444994A (en) * 1968-02-16 1969-05-20 Ethicon Inc Suture package
US3910410A (en) * 1974-03-19 1975-10-07 Continental Can Co Resealable package
US4014433A (en) * 1975-05-27 1977-03-29 Ethican, Inc. Package for moisture sensitive sutures and method for making same
US4034763A (en) * 1976-06-10 1977-07-12 Frazier Calvin H Ligament forming suture
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US4120395A (en) * 1977-09-02 1978-10-17 Ethicon, Inc. Package for double-armed sutures
US4284194A (en) * 1979-03-12 1981-08-18 American Cyanamid Company Package for a multiple of sterile sutures with or without needles attached
US4253563A (en) * 1980-05-15 1981-03-03 Ethicon, Inc. Multistrand suture package
US4412613A (en) * 1980-12-12 1983-11-01 American Cyanamid Company Microsurgical foam needle control package
US4413727A (en) * 1982-03-18 1983-11-08 Ethicon Inc. Folder retainer for surgical sutures
US4406363A (en) * 1982-09-24 1983-09-27 Ethicon, Inc. Folder retainer for multistrand surgical sutures
DE3246162C1 (de) * 1982-12-14 1988-10-20 B. Braun Melsungen Ag, 3508 Melsungen Packung fuer chirurgisches Nahtmaterial
US4427109A (en) * 1983-06-02 1984-01-24 Ethicon, Inc. Centering folder retainer for needled sutures

Also Published As

Publication number Publication date
FI852371A0 (fi) 1985-06-14
NZ212418A (en) 1988-03-30
CA1249982A (en) 1989-02-14
KR880001187B1 (ko) 1988-07-02
EG17575A (en) 1990-03-30
DE3565768D1 (en) 1988-12-01
IL75499A (en) 1990-07-26
GB2160490A (en) 1985-12-24
DK271285A (da) 1985-12-15
PL253982A1 (en) 1986-03-25
FI852371L (fi) 1985-12-15
SU1367836A3 (ru) 1988-01-15
ATE38142T1 (de) 1988-11-15
GB2160490B (en) 1988-11-09
ZA854180B (en) 1986-01-29
ES8609129A1 (es) 1986-07-16
US4496045A (en) 1985-01-29
IL75499A0 (en) 1985-10-31
NO852396L (no) 1985-12-16
DK271285D0 (da) 1985-06-14
GR851442B (ja) 1985-11-25
ES544123A0 (es) 1986-07-16
KR860000058A (ko) 1986-01-25
EP0168161A1 (en) 1986-01-15
PL149697B1 (en) 1990-03-31
GB8514224D0 (en) 1985-07-10
JPS6182740A (ja) 1986-04-26

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